TAILGATE TIME INC NPI 1386505048

NPI Information

  • NPI: 1386505048
  • Provider Name: TAILGATE TIME INC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 778 COUNTY ROAD 680
    BAY, AR
    ZIP 72411
  • Phone: (901) 832-3050

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NPI Details

TAILGATE TIME INC is a mental health counselor in Bay, AR. TAILGATE TIME INC NPI is 1386505048. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

778 COUNTY ROAD 680
BAY, AR
ZIP 72411-300
Phone: (901) 832-3050

The provider's authorized official is Amanda Michelle Barker .
The authorized official title is Co-founder/clinical Director and has the following contact phone number (901) 832-3050.

The enumeration date for this NPI number is 11/21/2025 and was last updated on 11/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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